Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.33 / $253.22 / $1,400.00	Facility		$174.33	$253.22	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $187.44 / $231.37	Professional		$123.74	$187.44	$231.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.72 / $196.10 / $213.65	Facility		$178.72	$196.10	$213.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $97.58 / $189.91	Professional		$97.58	$97.58	$189.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $193.75 / $193.75	Facility		$193.75	$193.75	$193.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $196.04 / $329.50	Professional		$134.52	$196.04	$329.50
United Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.45 / $160.22 / $243.29	Professional		$114.45	$160.22	$243.29